Individual
MRS. ALLISON ANN MACK-GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
291 E JUDY LYNN DR, FARRELL, PA 16121-1526
(724) 866-8002
Mailing address
291 E JUDY LYNN DR, FARRELL, PA 16121-1526
(724) 866-8002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07890
OH
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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